Colon Obstruction
Conditions
Brief summary
This study has been designed to support the working hypothesis that emergency surgery in a colon obstruction neoplasm is better than stent bridge due to better oncological outcomes. The primary objective is to analyse the importance of ERAS program implementation in emergency colon obstruction surgery
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* All adult patients (aged \>18 years) with a diagnosis of Malignant obstruction colorectal cancer. Informed consent will be obtained from all subjects who will participate in the study voluntarily. * ASA I, II and III * No more than 5 days from symptoms onset. * Absence of proximal colon severe dilatation( no more than 8 centimeters), severe malnutrition. * No Inmunocompromised patients * Patients suffer from segmentary colectomy, with or without anastomosis with o witjhout lateral ileostomy * Patients suffer from Hartmann procedure.
Exclusion criteria
* Patient refusal. * Patients under 18 years of age. * ASA IV * Stent placement * ICU stay more than 2 days * Peritonitis * Out of protocol if patient would need total parenteral nutrition(NPT) during postoperative or Clavien-Dindo more or equal than II.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | From enrollment to 90 days | The primary objective is to analyse the importance of ERAS program implementation in emergency colon obstruction surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 1 year survival analysis | 360 days after surgery | 1 year survival analysis |
| Overall survival | 365 days after surgery | Overall survival |
| disease-related survival | 365 days after surgery | disease-related survival |
| disease-free survival | 365 days after surgery | disease-free survival |
| Relationship between stent bridge and colon perforation | 60 days after stent placement | Relationship between stent bridge and colon perforation |
Countries
Spain